HomeMy WebLinkAboutHomestead_Hale (8) H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on c v e document
SPM Development, Inc., an Indiana corporation doing business as
Reinbrecht Homes El)Address(number and street) Address(number and street)
304 E SR 68 '40G 08
City, State and ZIP Code City, State and ZIP Code " 'ze- 2022
Haubstadt, IN 47639 , G/BS0 CO 1¢y�� �(-.-
Country �'ry CIDUNTquD/ 3
Count
United States of America R
who knowingly and intentionally falsifies the value of transferred
real prope omits or falsifi any information required to be provided,commits a Level 5 felony.
Sign re of e er Signature of Seller
K.
anted Nla Seller Date signed(mm/dd/yyyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
Brooke Traylor,Authorized Signer 8/3/2022
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Jeremia A. Hale
Address(number and street) Address (number and street)
230 W. Garfield Ave
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670
Country Country
United States of America
E-mail address
apply for certain deductions. Identify all h.f those that apply:
YES NO CONDITION YES NO CONDITION
Q ❑ 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead
0 El 4. Solar Energy Heating or Cooling System ".
J
❑ El 2. Does the buyer have a homestead to be vacated for °'i`'^.y
this residence? If yes, provide address: El 0 5. Wind Power Device
❑ El 6. Hydroelectric Power Device
Address(number and street) ❑ El 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county 7 .-I /_?f 300-W1-( a 5 3 —o